Fernanda Maria Vieira Pereira-Ávila

Congenital syphilis is a significant public health problem and can lead to several unfavorable perinatal outcomes and severe sequelae in children. In Brazil, the number of cases of congenital and gestational syphilis continues to increase, highlighting the need for timely diagnosis, treatment, and prevention. A lack of adequate follow-up during prenatal care may result in unwanted outcomes for the neonate, such as prolonged hospitalization and impacts on neurodevelopment. Although many studies have focused on the clinical aspects of congenital syphilis, there is a gap in understanding maternal experiences, especially regarding affective and psychological elements and the importance of support networks. To explore the experiences of mothers of children exposed to syphilis during pregnancy or with congenital infection regarding the diagnosis and hospitalization of the child and the influence of their support networks. This is a descriptive study with a qualitative approach based on the concept of social support networks. After ethical approval, individual and semi-structured interviews were conducted and submitted for content analysis. The study enrolled 11 mothers of children with congenital infection and two mothers of children exposed to gestational syphilis at an outpatient clinic in Juiz de Fora, Minas Gerais, Brazil. The guilt of the mother and her responsibility for the vertical transmission were identified. The women experienced feelings of sadness, doubts about the child, mistaken conception of the disease, and fear of the child's death. The experience was permeated by stigma and prejudice. The hospitalization of the child and the consequent need for invasive procedures was a moment of shock for the mother. The perspective of the child's well-being and the recognition of the benefits of the treatment, as well as faith and the presence of a support network, were fundamental in the process. The presence of a support network in the process of coping with congenital syphilis or exposure to infection can modulate maternal health. This highlights the need for health education and more inclusive actions in the context of maternal and child health from the time of prenatal care.

Introdução: Ampliação da atuação da Atenção Primária da saúde na prevenção e, na testagem do HIV, ainda se observa a dificuldade de continuidade do cuidado, visto que muitos usuários após a testagem têm entraves para chegar ao serviço de assistência especializada para o tratamento e acompanhamento adequados. Desse modo, a consulta de enfermagem constitui um elemento central, ao possibilitar acolhimento qualificado, vínculo entre o profissional e usuário e experiência diagnóstica positiva. Objetivo: mapear as evidências científicas disponíveis sobre a consulta de enfermagem na testagem para HIV na Atenção Primária à Saúde. Método: protocolo de revisão de escopo segundo as orientações Joana Briggs Institute. A questão de pesquisa foi formulada conforme o mnemônico PCC: “Quais as evidências científicas sobre a consulta de enfermagem na testagem do HIV na Atenção Primária à Saúde?”. As buscas serão realizadas nas seguintes plataformas: Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature Analysis and Retrievel System Online; Portal de Períodicos da CAPES, CINAHL e Scientific Electronic Library Online e literatura cinzenta através do google acadêmico. Após a exclusão das duplicatas no software zotero, os estudos serão exportados para o software Rayyan para a etapa de seleção, obedecendo os critérios de elegibilidade. A pesquisa será reportada de acordo com o Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Review. Espera-se identificar e mapear um conjunto de evidências científicas sobre consulta de enfermagem na testagem para HIV na Atenção Primária à Saúde.

Objetivo: Desenvolver uma videoteca digital sobre o uso de máscara para a população brasileira. Método: Estudo metodológico desenvolvido em 2021 e 2022, nas seguintes etapas: busca dos temas, estudo teórico, elaboração dos vídeos, validação dos vídeos por especialistas, adequação após validação, avaliação do público-alvo, adequação após avaliação do público-alvo e disponibilização. Utilizou-se o programa Powtoon® para a construção dos vídeos e o Video Software Development Company para a edição. Adotou-se o Índice de Concordância com mínimo de 0,7. Resultados: A videoteca digital foi desenvolvida e composta por nove vídeos explicativos. Validada por 12 especialistas, apresentou Índice de Concordância médio global de 1,0. Na avaliação por 15 representantes do público-alvo, a videoteca obteve resultados satisfatórios em todos os aspectos. Considerações finais: Desenvolvida como uma inovadora tecnologia educacional para disseminar informações sobre o uso de máscaras pela população na pandemia, a videoteca digital foi considerada adequada por especialistas e representantes do público-alvo.

Objective: To identify the factors associated with symptoms of depression among the Brazilian population in the context of the pandemic. Method: This is an analytical cross-sectional study, conducted with the Brazilian population between April and May of 2020 and 2021, the first period at the beginning of the pandemic and the second period after an increase in the number of cases of the disease. The Patient Health Questionnaire-9 was used for data collection. The Mann-Whitney and Kruskal-Wallis tests were used to analyze the mean scores. The chi-square test and logistic regression were used to assess the association of factors. Results: 25,132 (100%) Brazilians participated. The score obtained on the Patient Health Questionnaire-9 was 8.8 (Standard Deviation=6.6), showing that 62.7% of the participants presented mild symptoms of depression. In the logistic regression, several factors remained associated, such as female sex (Odds Ratio=2.02) and social isolation (Odds Ratio=1.48). Conclusion: Despite the low scores on the Patient Health Questionnaire-9, factors such as female sex, social isolation, and the year 2021 increased the likelihood of developing symptoms of depression among the Brazilian population during the pandemic.

RESUMO Objetivos: mapear as práticas seguras na terapia medicamentosa intravenosa em pacientes adultos hospitalizados descritas na literatura científica. Métodos: revisão de escopo conforme JBI, com a pergunta: “Quais as práticas para administração segura de terapia medicamentosa intravenosa em adultos hospitalizados?”. Realizou-se as buscas em quatro recursos informacionais e literatura cinzenta. Duplicatas foram removidas no Endnote e os estudos selecionados no Rayyan, conforme critérios de elegibilidade. Os dados foram apresentados segundo o Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Review. Resultados: analisaram-se 18 estudos cujas evidências foram agrupadas nas etapas: 1) Técnicas assépticas; 2) Preparo; 3) Rotulagem; 4) Administração; 5) Registro. Destacou-se como práticas seguras: higiene das mãos, dupla checagem, identificação dos medicamentos e paciente, verificação da permeabilidade do acesso, registro da administração e eventos adversos. Conclusões: adoção de práticas seguras nas etapas da terapia medicamentosa intravenosa constitui estratégias fundamentais para segurança do paciente adulto hospitalizado.

Objectives: to map safe practices in intravenous drug therapy in hospitalized adult patients described in the scientific literature. Methods: Scoping review according to JBI, with the question: “What are the practices for safe administration of intravenous drug therapy in hospitalized adults?”. Searches were conducted in four information resources and grey literature. Duplicates were removed in Endnote and studies were selected in Rayyan, according to eligibility criteria. The data were presented according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Review. Results: Eighteen studies were analyzed, and the evidence was grouped into the following stages: 1) Aseptic techniques; 2) Preparation; 3) Labeling; 4) Administration; 5) Recording. The following were highlighted as safe practices: hand hygiene, double checking, identification of medications and patients, verification of access permeability, recording of administration, and adverse events. Conclusions: adopting safe practices during intravenous drug therapy is a fundamental strategy for the safety of hospitalized adult patients.

RESUMO Objetivo: Investigar as percepções dos profissionais de Enfermagem sobre o cuidado na higiene bucal realizado em pacientes em terapia intensiva. Método: Estudo descritivo, qualitativo, realizado na Unidade de Terapia Intensiva de um hospital no Norte de Minas Gerais, entre profissionais de Enfermagem. Os dados foram coletados por questionários semiestruturados e analisados com o uso do software Interface de R Pour les Analyses Multidimensionnelles de Textes et de Questionnaires, no período de outubro a novembro de 2024. Resultados: Participaram 41 profissionais de Enfermagem, com idades variando de 24 a 55 anos, que relataram dificuldades na realização dos cuidados com a higiene bucal dos pacientes em unidade intensiva, incluindo: a falta de materiais, a intensa rotina de trabalho. Conclusão: Os profissionais de Enfermagem percebem a higiene bucal em pacientes de terapia intensiva como um cuidado essencial, mas frequentemente negligenciado, devido à falta de materiais, sobrecarga de trabalho e ausência de protocolos.

Objective: Investigate the perceptions of nursing professionals about oral hygiene care performed in patients in intensive care. Method: Descriptive, qualitative study, conducted in the Intensive Therapy Unit of a hospital in North Minas Gerais, among nursing professionals. The data were collected by semi-structured questionnaires and analyzed using IRaMuTeQ (Interface of R Pour les Analyses Multidimensionnelles de Textes et de Questionnaires), in the period from October to November 2024. Results: 41 nursing professionals, aged from 24 to 55 years old, participated in the study, who reported difficulties in performing oral hygiene care of patients in the intensive care unit, including: the lack of materials and heavy workload. Conclusion: Nursing professionals perceive oral hygiene in intensive care patients as an essential but often neglected care due to lack of materials, overload and lack of protocols.

RESUMEN Objetivo: Investigar las percepciones de los profesionales de Enfermería sobre el cuidado en la higiene bucal realizado en pacientes en terapia intensiva. Método: Estudio descriptivo, cualitativo, realizado en la Unidad de Terapia Intensiva de un hospital en el Norte de Minas Gerais, entre profesionales de Enfermería. Los datos fueron recolectados mediante cuestionarios semiestructurados y analizados con el uso del software Interfaz de R Para Análisis Multidimensional de Textos y Cuestionarios, en el período de octubre a noviembre de 2024. Resultados: Participaron 41 profesionales de Enfermería, con edades que varían de 24 a 55 años, quienes informaron dificultades en la realización de los cuidados con la higiene bucal de los pacientes en unidad intensiva, incluyendo: la falta de materiales, la intensa rutina de trabajo. Conclusión: Los profesionales de Enfermería perciben la higiene bucal en pacientes de terapia intensiva como un cuidado esencial, pero frecuentemente descuidado, debido a la falta de materiales, sobrecarga de trabajo y ausencia de protocolos.

Objective: To map the available scientific evidence on the use of protocols on oral hygiene to prevent the occurrence of aspiration pneumonia in intensive care. Method: A scoping review protocol, which has been developed in accordance with the provisions of the Manual for Evidence Synthesis and registered in the Open Science Framework. The research question was formulated according to the acronym PCC (“Population, Concept, and Context”). It means “population”: patients that were admitted to the intensive care units; “concept”: protocols on oral hygiene; “context”: prevention of aspiration pneumonia in the intensive care units. The searches shall be carried out on the following platforms: Latin American and Caribbean Health Sciences Literature (LILACS; Literatura Latino-Americana e do Caribe em Ciências da Saúde, in Portuguese), Medical Literature Analysis and Retrieval System Online, or MEDLARS Online (MEDLINE), Google Scholar; Portal of Journals of the Coordination for the Improvement of Higher Education Personnel (CAPES; Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, in Portuguese), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Scientific Electronic Library Online (SciELO). After excluding duplicates in the EndNote software, the studies shall be exported to the Rayyan software for the screening stage; they shall comply with the eligibility criteria. The research shall be reported in accordance with the provisions of the PRISMA Extension for Scoping Reviews (PRISMA-ScR). It is expected to identify and map a body of scientific evidence on protocols on oral hygiene to prevent the occurrence of aspiration pneumonia in patients in the intensive care units.